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Home My WebLink AboutNAPHCARE, INC. (3)wbuRANCE NOT ON FILE WORK MAY NOT PROCEED ,XERK OF COUNCIL IATE: OCl 2 2 2021 A-2021-184 Q'.YDIi t2 CMS •Mnnriq�ttt)(�.�T 1 THIS THIRD AMENDMENT to the above -referenced agreement is entered into on October 1, 2021, by and between NaphCare, Inc., an Alabama corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The parties entered into Agreement No. A-2017-249, dated September 19, 2017, by which Contractor agreed to provide basic and emergency inmate medical services ("Agreement'). B. On October 1, 2019, the parties entered into a First Amendment to the Agreement (#A- 2017-249-01) to exercise the first option to extend the Agreement until September 30, 2020, and increase the overall compensation. C. On September 15, 2020, the parties entered into a Second Amendment to the Agreement (#A-2020-187) to exercise the second option to extend the Agreement until September 30, 2021, and increase the overall compensation. This agreement is current and in effect. D. The parties wish to exercise the third and final option to extend the term of the Agreement for one year and to increase the overall compensation for services during the extension. The Parties therefore agree: Section 1, TERM, is amended to extend the term of the Agreement for the period from October 1, 2021 through September 30, 2022. 2. Section 4, COMPENSATION, is amended to increase the overall compensation for the following: a. The total amount to be expended during this extension shall not exceed $2,854,746.87. This amount includes the base amount listed under the Tier 1 listing below, and includes a contingency amount of $200,000 for services to be provided at the sole �scretton o e ity and $18,000 to cover parking costs as prove ed under Section 4 of the Agreement. The Total amount to be expended for this Agreement shall not exceed $ j 3,400,361.15. Tier 1 Tier 2 (ADP at or above 176) ADP at or below 175) Renewal Option — 3`a Extension 10/1/21-9/30/22 $2,636,746.87 $2,323,841,64 A-2021-184 3. Except as modified by this Third Amendment, all terms and conditions of the Agreement, as amended, shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to the Agreement on the date and year first written above. ATTEST CITY OF SANTA ANA DA M Z KRISTINE RIDGE Clerk of the C uncil City Manager APPROVED AS TO FORM SONIA CARVALHO, City Attorney By: TAMA BO OSIAN Senior Assistant City Attorney FOR APPROVAL i' � ALENTIN c Chief of Police CONTRACTOR NaphCare, Inc. By: Bradford T. McLane Chief Executive Officer Francine R. Digitally signed by FrancineR. Villareal Villareal Date:2022.01.20 13:34:07-08'00' ACCWV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 01 /18/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER VIG, LLC., dba/The Vestavia Group CONTACT NAME: Susan Crain PNONE . 205-552-0244 ac No): 205-244-8072 E-MAIL ADDRESS: SUSan.Crafn@V2StaVlagrOUp.COm 2090 Columbiana Road, Suite 2300 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Ironshore Insurance Company "A" XV 25445 Birmingham AL 35216 INSURED INSURER B : Great American Insuance Company"A+"XIV" 16691 INSURER C : The Travelers Indemnity Company "A++" XV 19046 NaphCare, Inc. INSURER D 2090 Columbiana Road, Suite 4000 INSURER E Birmingham, AL 35216 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY Y N HC7BAB5A62002 12/31/2021 12/31/2022 EACH OCCURRENCE $ 2,000,000 X I CLAIMS -MADE El OCCUR DAMAGE To RENTED- PREM SES (E. occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 Retro date: 12/31/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 8,000,000 POLICY PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ OTHER: _R B AUTOMOBILE LIABILITY Y N CAP-1116396 09/30/2021 09/30/2022 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) _ $ XXXXXXXX ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ XXXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXXX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB z OCCUR Y N HC7BAB5A67002 12/31/2021 12/31/2022 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS MADE DIED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? y (Mandatory in NH) NIA N UB-1P248768-21-51-K UB-1 P250924-21-51-K 09/30/2021 09/30/2022 X I STATUTE I ERH E.L. EACH ACCIDENT — $ 1,000,000 E.L. DISEASE - EA EMPLOYEE -- $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability Claims Made Y N HC7BAB5A62002 12/31/2021 12I31/2022 2,000,000 Retro: 7/01 /2003 8,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) It is understood and agreed The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as Additional Insured, as respects their contract with NaphCare, Inc.; the insurance provided by Naphcare, Inc., shall be primary and non-contributory to the insurance carried by the City of Santa Ana; The City shall receive a (30) thirty day notice of any material modification of policies, as respects their contract with NaphCare, Inc. CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92702-1988 AUTHORIZED REPRESENTATIVE o" Nye z RiskMwaganentDivision REVIEWED & APPROVED BY. 01988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD --- Risk Management Analyst O' I _E IRONSHORE SPECIALTY INSURANCE COMPANY 175 Berkeley Street Boston, MA 02116 Toil Free: (877) IRON411 Endorsement # 5 Policy Number: HC7BAB5A62002 Insured Name: NaphCare, Inc. Effective Date of Endorsement: December 31, 2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CITY OF SANTA ANA ENDORSEMENT LIMITS OF LIABILITY THIS ENDORSEMENT MODIFIES THE GENERAL LIABILITY COVERAGE PART AND THE PROFESSIONAL LIABILITY COVERAGE PART OF THE POLICY AS FOLLOWS: The coverage provided by the policy applies to each insured against whom claim is made or suit is brought subject to the applicable limit of liability. ADDITIONAL INSUREDS THIS ENDORSEMENT MODIFIES THE GENERAL LIABILITY COVERAGE PART AND THE PROFESSIONAL LIABILITY COVERAGE PART OF THE POLICY AS FOLLOWS: The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, volunteers and representatives are included as additional insureds under the above -described Coverage Part(s) of the policy, but only with respect to liability arising solely out of the operations of the policyholder. The coverage provided by this policy shall be primary and non-contributory, provided that the alleged acts or omissions giving rise to the liability are otherwise covered by the policy. SPECIAL NOTICE OF CANCELLATION The policy is hereby amended as follows: We will provide thirty (30) days'prior notification to the City of Santa Ana in the event that we cancel or materially change or alter this policy. City of Santa Ana 20 Civic Center Plaza Santa Ana, California 92701 All other terms and conditions of this Policy remain unchanged. Authorized Representative MMF.END.171(2.19 ed.) May 22, 2020 Date Pa o NSF Risk Management])Msian z REVIEWED & APPROVED BY. - Risk Management Analyst